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I mean like if you have a35 weeker come to L&D because she is contracting, I want to have a flow chart that tells the nurse that yes she is early so are ctx strong admit to L&D, does she have a UTI admit to triage, has her water broke, admit to L&D. that kind of thing, with the signs and arrows and all.

she was lucky that her doctor let her go on so long. We have docs in my community that would of did a c/s about 5pm. (office hours are over you know). anyway, as long as she was progressing and the baby wasn't in distress I think she was ok. Did she deliver lady partsl?

Hi all i was wondering if anyone out there has a flow chart for the admission of labor and delivery patients to triage. It would really be helpful and give me somewhere to start, as I try to make one for my own unit. Thank you very much

I have seen many water births, and they are less messy than beds. The biggest problem is that if the tub doesn't get cleaned right away, and things dry in there. So we have learned to clean out the tubs as soon as the mom gets out and back into bed. We do not deliver the placenta in the water unless it can't be helped. Most moms are able to get up after delivery and walk back to bed for placenta and if any suturing that needs to be done. Which is usually minimal with a water birth.

so how many deliveries do you do a month. We only do about 2400. Do you have policies and procedures in place for this unit. Is it on your ob floor, or is it somewhere else. thanks for your help

Help I am taking a graduate course in Pharmacology and have just started and am scared to death. The professor said it is a lot of memorization, and I don't do that so well. Any hints on how to take this course and learn something and remember it?

help we are trying to revamp how we triage our patients when they come to the hospital. Does anyone have a triage unit, how does it work, What do you like about it, what would you change if you could? We have lots of patients that walk in and take up a bed in a labor room and we are pretty busy, so we thought if we could get a triage unit up and running, it would be a godsend for us. Do you have regular nurses staff it. Do you use Advanced practice nurses to staff it? how do your docs feel about it. Thanks for all the help Vickie

we use jacuzzi's all the time, and as a matter of fact we have 13 birthing rooms and all but one have a jacuzzi in it. We also have 6 midwives that practice and they do a good number of water births. Some of our doctors have even done a few water births. None of our docs are opposed to the mom being in the jacuzzi during labor unless she is induced or have other problems that need continous fetal monitoring. It is not a contraindication for ROM. I have seen huge changes in moms that can get in the tub during labor. It is a benefit and really does help with the pain of labor. I would encourage you to get as much info as you can, because it is a godsend to laboring moms.

help, I am a student nurse doing my management leadership class and my preceptor a director of CCU/PCU has given me an assignment to find out how other CCU handle direct admits from the OR or if they do, bypassing PACU and also what happens if you have floated an ICU nurse to another unit and how do you get her back or should CCU nurses float at all? lots of questions hope someone can help. thanks viclynn

I am not sure what you are asking about, but if you want a magazine that deals strictly in womens health try JOGNN. It is the Journal of Obstetric, Gynecologic, & neonatal nursing, that is full of research articles on any and all of the different parts of womans health including obstetrics

absolutely we started a new program for our LPN's about 3 years ago, and it is wonderful. they do not take a laboring patient, but are kind of a stat nurse, where they do and go where we need them. They finish up recoveries, they help turn the patient, they put in orders, and put charts together, they scrub for lady partsl deliveries, and after they have learned to do all that and feel comfortable, we orient them to scrubbing in the OR for c-sections. they have been a life saver at our hospital.